Individual provider Active NPI

Rocio Marie Cardona Munoz, M.D.

  • Dermatology Physician
  • Carolina, PR
National Provider Identifier
1003261280
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
21760 Issued in PR
Practice address
PQ26 Ave El Comandante Ste 301
Carolina, PR 00982-2778
Phone
(787) 752-3280
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 21760 PR Primary

Addresses

Primary practice location

PQ26 Ave El Comandante Ste 301
Carolina, PR 00982-2778

Mailing address

675 Calle Cuevas Bustamante Apt 1504
San Juan, PR 00918-4090

Other practice location 1

142 Calle Del Parque
San Juan, PR 00911-1965
Phone (787) 725-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002312 PR Practitioner - Dermatology 1153744065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PQ26 Ave El Comandante
Suite 301
Carolina, PR 00982-2778
Phone (787) 765-7950

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions166
Skin biopsy42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RC Dermatology LLC Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Dra. Dianne Carrasquillo L.L.C. Dermatology PastSince Aug 28, 2021 Accepting new patients

Locations

PQ26 Ave El Comandante
Ste 301
Carolina, PR 00982
Phone (787) 765-7950

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1003261280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CALLE CUEVAS BUSTAMANTE APT 1504",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PQ26 AVE EL COMANDANTE STE 301",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822778",
            "telephone_number": "787-752-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Calle Del Parque",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009111965",
            "country_code": "US",
            "telephone_number": "787-725-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA MUNOZ",
        "first_name": "ROCIO",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "21760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.